| Brandi Ithal, APRN | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (630) 391-0962 | |
| Not Available |
| Full Name | Brandi Ithal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669060042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209023222 (Illinois) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 041430200 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Rush Oak Park Er Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187 |
| Entity Name | Transitions Home Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871890657 PECOS PAC ID: 7315124112 Enrollment ID: O20110603000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Ithal, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Brandi Ithal, APRN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (630) 391-0962 |
Dr. Margaret Mary Naber, DNP, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Bldg 101, Room 1752, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-6269 | |
Ms. Victoria Anne Davidson-bell, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-6569 | |
Margaret Merritt, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Mrs. Camille Kidd Moses, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8591 Fax: 708-218-8600 | |
Lauren M Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Maria Vargas, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Nancy Pak, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Ems 110, Maywood, IL 60153 Phone: 708-216-9000 |